Open Access Case Report

Radial Ray Defect

Temesgen Tadesse

International Journal of Medical and Pharmaceutical Case Reports, Page 111-115
DOI: 10.9734/IJMPCR/2015/15916

A 24 days old male neonate presented to the University of Gondar Hospital with deformity at the right wrist joint since birth. Physical findings were deformity of the wrist joint with lateral deviation of fingers and absent thumb. Plain radiographs of the wrist joint showed absent radius and bones of the thumb which suggest the diagnosis of radial ray defect. Radial ray defect is a rare congenital defect that may be isolated or associated with other anomalies. This is a rare case of radial ray defect which has no association with other anomalies.

Open Access Case Report

Successful Medical Treatment of Haemorrhagic Cystitis in a Dog

Chigozie S. Ukwueze

International Journal of Medical and Pharmaceutical Case Reports, Page 127-131
DOI: 10.9734/IJMPCR/2015/17004

Aims: To evaluate the aetiology and medical treatment of haemorrhagic cystitis in a nine-month-old Caucasian dog.
Place and Duration of Study: The study was carried out in the Veterinary Teaching Hospital, Michael Okpara University of Agriculture, Umudike for a period of 3 weeks.
Methodology: In this study, clinical examination revealed blood in urine (haematuria), painful urination (dysuria), hyperaemic mucus membrane, ocular discharges, mild tick infestation and evidence of pain on the bladder on palpation. Blood sample was collected to determine the haematological changes and to check for haemoparasites. Urine was also collected with the aid of a catheter for urinalysis and culture.
Results: No haemoparasite was seen in the thin smear stained with giemsa. The result of the haematology were as follows; packed cell volume (PCV) 22%, Haemoglobin concentration (HB) 8.0 g/dl, total leucocyte count 9500 (103/µL) and differential leucocyte counts were; neutrophils 52%, lymphocyte 36%, eosinophil 7%, monocytes 3% and basophils 2%. The urinalysis revealed the presence of oxalate crystals, nitrate, proteinuria, urine PH (6.0), bloody and turbid urine. The culture showed pure growth of Streptococcus species sensitive to gentamicin. Based on the case history, clinical examination and laboratory diagnosis, the condition was diagnosed to be canine haemorrhagic cystitis. Intravenous infusion of 5% dextrose saline was first administered followed by furosemide at a dose of 3 mg/kg BW, dexamethasone 0.2 mg/kg BW, gentamicin 5 mg/kg BW and 3 ml of vitamin B-complex. The animal was monitored and supportive therapy continued for 5 days before discharging.
Conclusion: Uncomplicated haemorrhagic cystitis can be successfully treated medically.

Open Access Case Study

Neonatal Abstinence Syndrome due to In-utero Exposure to Gabapentin: A Case Report

Alyssa Brzenski, Mark Greenberg

International Journal of Medical and Pharmaceutical Case Reports, Page 116-120
DOI: 10.9734/IJMPCR/2015/17253

We report the case of a neonate who likely developed symptoms of Neonatal Abstinence Syndrome after in-utero exposure to gabapentin for treatment of maternal chronic pain. The neonate developed symptoms of hypertonicity, tremor, and poor feeding twelve hours after delivery. Although the neonate wasbriefly exposed to the benzodiazepine alprazolam and the opioid oxycodone, the withdrawal symptoms were not characteristic of opioid or benzodiazepine withdrawal, such as hyperphagia, vomiting and loose stools. Due to a high suspicion of gabapentin withdrawal, the neonate was successfully treated with gabapentin and clonidine. Neonatal abstinence syndrome from gabapentin has been reported in the past [1] but in each of the reports the diagnosis has been questioned due to the prolonged maternal use of multiple other agents. We present a case with distinctly different symptoms of NAS after maternal exposure to gabapentin with discussion of the diagnosis, treatment and management of these neonates.

Open Access Case Study

A Case of Prolapsed Third Eyelid Gland in a Two Month Old Bull Mastiff

Okwudili Celestine Ukwueze, Njoku Njoku Uchechukwu, Jeremia Kelechi Theresah

International Journal of Medical and Pharmaceutical Case Reports, Page 121-126
DOI: 10.9734/IJMPCR/2015/15931

Aim: To report the case of a prolapsed third eyelid gland in a bull mastiff in which surgical treatment using modified pocket technique was performed.
Presentation: A two month old, male, bull mastiff weighing 30 kg was presented with a pinkish fleshy mass of tissue protruding from the medial canthus of the left eye, conjunctivitis and ocular discharges. The condition was confirmed to be a prolapse of the third eyelid gland following clinical examination. The surgical reposition of the prolapsed gland using pocket technique was done.
Discussion: Cherry eye may occur secondary to inflammation and weakness of the supporting ligament that attaches the gland to its anatomical position. Surgical correction of the prolapse using pocket technique has been reported to be far better than excision method. The standard and established approach for pocket technique was followed. No surgical or anaesthetic complication was encountered.
Conclusion: The surgical reposition of the prolapsed gland was successful and no complications were encountered.

Open Access Case Study

Unilateral Hypoplasia of the Internal Carotid Artery

Lale Paşaoğlu, Uğur Toprak, Betul Akdal, Gokhan Yagiz, Dilek Acar, Fatih Gurel

International Journal of Medical and Pharmaceutical Case Reports, Page 132-137
DOI: 10.9734/IJMPCR/2015/16686

Hypoplasia of the internal carotid artery (ICA) is a rare congenital anomaly. Most of the patients are asymptomatic. When clinically symptomatic it presents as cerebral ischemia or hemorrhage. Carotid artery hypoplasia should not be confused with other conditions which may have a similar appearance such as arterial dissection, atherosclerosis, vasculitis and tubular fibromuscular hyperplasia. Hypoplasia of the ICA is usually discovered incidentally by computed tomography or magnetic resonance imaging. We report three cases of ICA hypoplasia which were discovered incidentally on computed tomography angiography (CTA). One of the three patients described an ipsilateral amaurosis fugax associated with the hypoplasia of the right internal carotid artery.